Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

JOHNSON, DESTYNE

NPI: 1871264234 · SALEM, OR 97301 · Dental Hygienist · NPI assigned 09/24/2021

$12K
Total Medicaid Paid
2,128
Total Claims
2,073
Beneficiaries
7
Codes Billed
2021-10
First Month
2024-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 292 $2K
2022 1,482 $8K
2023 328 $3K
2024 26 $124.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0191 659 650 $7K
D1206 Topical application of fluoride varnish 333 332 $4K
D1351 Sealant - per tooth 44 12 $1K
D0602 217 214 $361.00
D0601 131 131 $90.00
D1330 657 648 $86.00
D0603 87 86 $35.00